CAJ | 학술논문

目的：观察中国商环在包皮环切术的应用效果。方法1100例包皮患者均采用中国商环行包皮环切术。观察手术时间、术后出血、术后切口水肿、裂开、疼痛评分及切口愈合时间。结果1100例患者中顺利完成包皮环切术1085例。手术时间为（5．0±1．0）min；出血量均少于5 ml；术后轻度水肿868例，中度水肿196例，重度水肿21例。术后无裂开213例，轻度裂开658例，中度裂开167例，重度裂开47例。术后24 h疼痛评分为（3．1±1．8）分，拆环时为（7．8±1．9）分；折环时疼痛评分明显大于术后24 h评分（ P＜0．05）；愈合时间为（25．6±4．8）d。结论中国商环包皮环切术操作简单、手术时间短、出血少，但拆环时疼痛明显，术后切口水肿、裂开发生率高，切口愈合时间较长。
목적：관찰중국상배재포피배절술적응용효과。방법1100례포피환자균채용중국상배행포피배절술。관찰수술시간、술후출혈、술후절구수종、렬개、동통평분급절구유합시간。결과1100례환자중순리완성포피배절술1085례。수술시간위（5．0±1．0）min；출혈량균소우5 ml；술후경도수종868례，중도수종196례，중도수종21례。술후무렬개213례，경도렬개658례，중도렬개167례，중도렬개47례。술후24 h동통평분위（3．1±1．8）분，탁배시위（7．8±1．9）분；절배시동통평분명현대우술후24 h평분（ P＜0．05）；유합시간위（25．6±4．8）d。결론중국상배포피배절술조작간단、수술시간단、출혈소，단탁배시동통명현，술후절구수종、렬개발생솔고，절구유합시간교장。
Objective To observe the clinical effects of Chinese Shang Ring applied to circumcision in male adults.Methods A total of 1100 adults with phimosis or redundant prepuce underwent circumcision with Chinese Shang Ring.The clinical data were assessed concerning the duration of procedure ,postoperative hemorrhage ,edema, dehiscence of wound ,postoperative pain score and wound healing time .Results The circumcisions were performed successfully in 1085 of 1100 patients.The duration of procedure was (5.0 ±1.0)minutes.The blood loss was less than 5 ml.There were 868 cases of mild edema,196 cases of moderate edema and 21 cases of severe edema after operation . There were 213 cases of none of dehiscence ,658 cases of mild dehiscence ,167 cases of moderate dehiscence and 47 cases of severe dehiscence after operation .The pain score was ( 3 .1 ±1 .8 ) 24 hours after operation , which was (7.8 ±1.9) when removing the ring,the latter was significantly larger than the former (P<0.05).The wound healing time was (25.6 ±4.8) days.Conclusion The circumcision with Chinese Shang Ring is easy and simple in performance ,with less operative time and blood loss ,more significant pain of removing the ring ,higher incidences of postoperative edema and dehiscence of wound,and longer wound healing time.